# ABRA HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699530485
- **Authorized official:** DA'MOND O GADSON DBH, LPC, MPC, MED (PRESIDENT)
- **Authorized official phone:** (602) 518-0214

## Contact information

- **Practice address:** 1401 E JEFFERSON ST, PHOENIX, AZ 85034-2315
- **Practice address phone:** (602) 492-1875
- **Mailing address:** 7214 W READE AVE, GLENDALE, AZ 85303-6124
- **Mailing address phone:** (602) 518-0214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 02/20/2024
- **Last updated:** 02/20/2024